Individual
ALEXA EVON DEMOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
230 DERONDA ST, AMERY, WI 54001-1412
(715) 268-8000
Mailing address
PO BOX 265, SHELL LAKE, WI 54871-0265
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8404-125
WI
101YP2500X
Professional Counselor
4173-226
WI
Other
Enumeration date
05/13/2019
Last updated
06/20/2025
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